Ngaba nawe unemilenze evuvukileyo ngokuhlwa emva kokuma imini yonke? Ngaba imilenze yakho ivakala ngathi inzima kwaye iyaqaqamba? Mhlawumbi ulusu lwemilenze yakho lujike lwaba mdaka kwaye imithambo yakho ibonakala? Nangona unokucinga ukuba ezi zinto zilula ukudinwa, zisenokuba luphawu lwemeko yezonyango efuna ingqalelo ethile. Namhlanje sithetha ngemeko enjalo, i-Chronic Venous Insufficiency, okanye i-CVI ngamafutshane.
Ngamafutshane, yintoni i-CVI?
Cinga ngemithambo emizimbeni yethu njengeendlela ezihamba macala omabini. Eyona ngxaki inkulu kwimithambo, ingakumbi leyo isemilenzeni, kukubuyisela igazi phezulu lisiya entliziyweni, ngokuchasene nomxhuzulane. Ukunceda kulo msebenzi, imithambo yethu inezakhiwo ezincinci ezifana nesango ngaphakathi kuyo. Kwizonyango, sizibiza ngokuba 'ziivalufa.' Ezi valufa ziyayithintela igazi ukuba lingabuyeli phantsi xa linyuka.
I-Chronic Venous Insufficiency (CVI) yimeko apho imithambo esemilenzeni yakho yonakele kwaye iivalvu endizikhankanyileyo zingasebenzi kakuhle. Oku kubangela ukuba igazi lihlangane emilenzeni yakho endaweni yokuba linyuke. Oku sikubiza ngokuba yi -venous reflux . Xa igazi lihlangana ngolu hlobo, uxinzelelo ngaphakathi kwemithambo luyanda. Ekuhambeni kwexesha, oku sikubiza ngokuba yi-CVI.
Lo monakalo unokwenzeka kulo naluphi na uhlobo lomthambo osemlenzeni wakho:
- Imithambo enzulu: Le yimithambo emikhulu ebaleka nzulu emzimbeni, phakathi kwemisipha.
- Imithambo engaphezulu: Le ikufutshane nolusu, ngaphantsi nje komphezulu.
- Imithambo egqobhozayo: Le mithambo idibanisa iintlobo ezimbini zemithambo ekhankanyiweyo apha ngasentla.
Nangona ekuqaleni ingaqala ngeempawu ezincinci, ekuhambeni kwexesha, i-CVI inokuphazamisana nobomi bakho bemihla ngemihla kwaye ibangele iingxaki ezinkulu.
Ngaba i-CVI kunye ne-post-thrombotic syndrome ziyafana?
Omabini la magama abhekisa kwingxaki efanayo, eyomonakalo kwimithambo emilenzeni. Kodwa kukho umahluko omncinci. I-Post-thrombotic syndrome yimeko ye-CVI ebangelwa kukuqhekeka kwegazi kumthambo onzulu emlenzeni (Deep Vein Thrombosis - DVT). Emva kokuba ihlwili liphumile, kushiywa isilonda esincinci eludongeni lwemithambo apho lalikhona, nto leyo enokonakalisa ivalvu. I-Post-thrombotic syndrome inokwenzeka ukuba ivele kwi-20% ukuya kwi-50% yabantu abaye baba ne-DVT kunyaka omnye okanye emibini.
Ixhaphake kangakanani i-CVI kwaye iyichaphazela njani umzimba wam?
Isifo semithambo yegazi sixhaphake kakhulu. Umzekelo, malunga nomntu omnye kwabathathu abadala unemithambo yegazi erhabaxa . Kulaba bantu, malunga nomntu omnye kwabangama-50 uya kuba ne-CVI rhoqo ngonyaka.
I-CVI idla ngokuchaphazela abantu abangaphezu kweminyaka engama-50 ubudala. Umngcipheko uyanda ngokuhamba kweminyaka. Lilonke, malunga nomntu omnye kwabangama-20 omdala une-CVI.
Xa ukuhamba kwegazi ukuya emilenzeni kuvaliwe ngenxa ye-CVI, uxinzelelo olungaphakathi kwimithambo luyanda kakhulu. Ukuba alunyangwa, olu xinzelelo luphezulu lunokubangela ukuba imithambo yegazi emincinci (ii-capillaries) emzimbeni wethu iqhume. Ulusu olukuloo ndawo lujika lube nombala obomvu-mdaka . Kwakhona, ulusu lunokulimala lula nokuba kukukrweleka okuncinci.
Le mithambo yegazi eqhekekileyo inokubangela oku kulandelayo:
- Ukudumba kwezicubu kuloo ndawo
- Umonakalo wezicubu
- Izilonda zemithambo yegazi ezihlala zingasebenzi kakuhle (ezi ngamanxeba akheka phezu kolusu kwaye angaphili lula)
Olu hlobo lwezilonda aluphili lula, kwaye lunokosulelwa ziintsholongwane. Ukuba olu sulelo lusasazeka kwizicwili ezingqongileyo, silubiza ngokuba yi-cellulitis . Oku kungaba yimeko eyingozi ukuba alunyangwa ngokukhawuleza.
Zithini iimpawu ze-CVI?
Akunyanzelekanga ukuba ube nazo zonke ezi mpawu ngaxeshanye. Usenokuba nenye okanye ezimbini kuphela. Ezi mpawu zixhomekeke ekubeni imeko yakho iqhubele phambili kangakanani.
| Uphawu | Inkcazo |
|---|---|
| Intlungu kunye nobunzima emilenzeni | Ukuziva imilenze ibuhlungu, ukudinwa, kunye nobunzima. |
| Ukudumba kunye nokungakhululeki | Ukutsha, ukurhawuzelela, okanye ukurhawuzelela emilenzeni. |
| Imilenze iyabonakala, iqengqeleka | Ukuqaqamba, okubonakala kwimithambo emilenzeni, ingakumbi ebusuku. |
| Ukudumba (Ukudumba) | Ukudumba emilenzeni nasemaqatheni, ingakumbi ngokuhlwa emva kokuma imini yonke. |
| Utshintsho lolusu | Ukutshintsha kombala wesikhumba obomvu-mdaka, ulusu olomileyo noluqhekekileyo, ukurhawuzelela, kunye nokuqina kolusu. |
| Imithambo yeVaricose | Imithambo ibonakala ivuvukele kwaye iqhina phantsi kolusu. |
| Izilonda | Amanxeba angapholiyo, ingakumbi ajikeleze amaqatha, anokosulelwa ukuba abuhlungu. |
Zithini izigaba zeCVI?
Oogqirha bahlula isifo semithambo yegazi sibe ngamanqanaba ukusuka ku-0 ukuya ku-6. I-CVI yenye yezi. Ugqirha wakho uya kugqiba isigaba ngokusekelwe kwinto ayibonayo xa ekuxilonga.
- Inqanaba 0: Akukho zimpawu zibonakalayo, kodwa unokufumana iimpawu ezifana nentlungu yemilenze kunye nokudinwa.
- Inqanaba loku-1: Kuvela imithambo yesigcawu.
- Inqanaba lesi-2: Ukubonakala kwemithambo erhabaxa engaphezulu kwe-3 mm ububanzi.
- Inqanaba lesi-3: Kukho ukudumba (i-edema) emilenzeni, kodwa akukho tshintsho lolusu.
- Inqanaba lesi-4: Utshintsho kumbala wesikhumba kunye nokuthungwa kwaso (umz., ukuba mdaka).
- Inqanaba lesi-5: Kuye kwavela isilonda kwaye kwavela isilonda emva kokuba sipholile.
- Inqanaba lesi-6: Ukubakho kwesilonda esisebenzayo nesinganyangekiyo.
Into ebalulekileyo kukuba ugqirha uhlala ekuxilonga ukuba une-CVI xa ukwinqanaba lesi-3 okanye ngaphezulu . Oku kuthetha ukuba ukuba unemithambo yegazi ephukileyo akuthethi ukuba une-CVI. Kodwa oko kubonisa ukuba kukho ingxaki ngokuhamba kwegazi lakho. Ngoko ke ukuba uvelisa imithambo yegazi emitsha ephukileyo, kubalulekile ukuxelela ugqirha wakho.
Ziziphi izizathu eziphambili ze-CVI?
Njengoko benditshilo ngaphambili, eyona nto ibangela i-CVI kukuba iivalvu ezisemithanjeni emilenzeni azisebenzi kakuhle. Kukho izizathu ezininzi zokuba ezi valve zinokonakala.
- Izizathu zokuzalwa:Abanye abantu banokuzalwa bengenazo okanye bengenazo iivalvu ezibuthathaka kwimithambo yabo.
- Izizathu eziphambili: Ngaphandle kwesizathu esithile, iindonga zemithambo ziba buthathaka, imithambo iyavuleka, kwaye iivalvu zisenokungavaleki kakuhle.
- Izizathu zesibini: Ukonakala kwemithambo yegazi ngenxa yesinye isifo. Isizathu esiphambili nesiqhelekileyo soku yi- deep vein thrombosis (DVT) . Ihlwili legazi lonakalisa iivalvu.
Ugqirha uyixilonga njani le nto?
Xa usiya kugqirha, into yokuqala ayenzayo kukuhlola imilenze yakho ngononophelo. Ukhangela izinto ezinje ngokudumba, utshintsho kumbala wolusu, kunye namanxeba.
Emva koko, uvavanyo lweVascular Ultrasound lwenziwa ukuze kufunyaniswe isifo ngokuchanekileyo. Oku kusebenzisa amaza esandi ukwenza umfanekiso wemithambo yakho kwiscreen sekhompyutha. Oku kunokukunceda ubone ngqo ukuba yeyiphi imithambo eyonakeleyo kwaye iphi. Olu luvavanyo olungenabuhlungu nolulula.
Ziziphi iindlela zonyango ze-CVI?
Kukho iinjongo ezimbalwa eziphambili zonyango lwe-CVI:
- Ukuphucula ukujikeleza kwegazi emilenzeni.
- Ukunceda amanxeba aphiliswe kwaye kuthintele ukuphinda abuye.
- Ukuphucula inkangeleko yolusu.
- Ukunciphisa iintlungu nokudumba.
Iindlela zonyango zinokwahlulwa zibe ziinxalenye eziphambili ezininzi.
1. Utshintsho kwindlela yokuphila
Eli linyathelo lokuqala nelibaluleke kakhulu kunyango.
- Ukuphakamisa imilenze yakho: Phakamisa imilenze yakho ngaphezu kwentliziyo yakho malunga nemizuzu engama-30, malunga nezihlandlo ezithathu ngemini. Oku kuya kunciphisa uxinzelelo kwimithambo yakho.
- Ukuzilolonga: Ukuhamba kakuhle. Xa uhamba, izihlunu zethole zinceda ekupompeni igazi emithanjeni. Oku kukwabizwa ngokuba "yintliziyo yesibini."
- Ukulawula ubunzima bomzimba: Njengoko ubunzima bomzimba wakho busanda, uxinzelelo olungakumbi lubekwa kwimithambo yakho. Kubaluleke kakhulu ukugcina ubunzima obufanelekileyo obuhambelana nobude bakho.
2. Unyango loxinzelelo
Le yinxalenye ebaluleke kakhulu yonyango lwe-CVI. Ibandakanya ukunxiba iikawusi eziqinileyo nezenzelwe ngokukodwa (iikawusi zokucinezela). Ezi kawusi zibeka uxinzelelo ngaphandle kwemilenze, zinceda ekunciphiseni ukuhlangana kwegazi nokulinyusa.
Zininzi iintlobo zezi kawusi. Ezinye zifuna uxwebhu olugunyazisiweyo ngugqirha. Ngoko ke kubaluleke kakhulu ukunxiba uhlobo olucetyiswa ngugqirha wakho, nangendlela echanekileyo.
3. Amayeza
- Ii-antibiotics: Ukuba amanxeba esikhumba asulelekile ziintsholongwane, anikwa ukuze aphiliswe.
- Izinto ezilwa nokugabha igazi:Ezi ziyacetyiswa ukuba unesifo esifana ne-DVT okanye usengozini.
- Isihlangu sika-Unna: Le yibhandishi ekhethekileyo enejeli yeyeza esetyenziswa kuyo. Inceda amanxeba ukuba aphiliswe ngelixa ikwanika uxinzelelo emlenzeni.
4. Unyango notyando olungelulo utyando
Ukuba utshintsho kwindlela yokuphila kunye nonyango lokucinezela aziyilawuli imeko, ugqirha unokuqwalasela ezinye iindlela zonyango.
| Indlela yonyango | Kwenzeka ntoni nje |
|---|---|
| Unyango lweSclerotherapy | Ulwelo okanye igwebu elikhethekileyo lifakwa kumthambo owonakeleyo, nto leyo eyenza umthambo ungasebenzi. |
| Ukususwa kobushushu obungenamda | Umthambo owonakeleyo uvalwa ngaphakathi bubushushu kusetyenziswa imisebe yelaser okanye amaza erediyo. |
| Ukudlula kwemithambo yegazi | Kufana notyando lokuvala intliziyo. Inxalenye yomthambo wegazi ophilileyo ithathwa kwenye indawo yomzimba kwaye kudalwe indlela entsha yokuba igazi lidlule umthambo owonakeleyo. Oku kwenziwa kuphela kwiimeko ezinzulu kakhulu. |
Ingathintelwa njani i-CVI?
Ngamanye amaxesha le meko ayinakuthintelwa ngokupheleleyo. Kodwa kukho izinto onokuzenza ukunciphisa umngcipheko:
- Kuphephe ukutshaya.
- Musa ukuhlala kwindawo enye (umile okanye uhleli) ixesha elide. Tshintsha iindawo ohlala kuzo rhoqo kwaye uhambehamba kancinci.
- Gcina ubunzima bakho busempilweni.
- Zilolonge rhoqo.
- Nciphisa ukutya ityuwa kwaye utye ukutya okunempilo okunempilo kwintliziyo.
Ufanele uye nini kugqirha?
Ukuba uneempawu ze-CVI okanye izinto ezinobungozi, qiniseka ukuba ubona ugqirha. Ingakumbi,
- Ukuba iimpawu zakho zintsha okanye ziyanda.
- Ukuba iikawusi zokucinezela ezimiselweyo azikulingani kakuhle (akufuneki zibe nemibimbi, kuba oku kunokuthintela ukuhamba kwegazi ngakumbi).
Ingxamiseko! Ukuba ubonakalisa iimpawu ze -pulmonary embolism (igazi eliqhekekileyo emiphungeni), ingxaki ye-DVT, njengentlungu yesifuba ngequbuliso, ubunzima bokuphefumla, okanye ukubetha kwentliziyo ngokukhawuleza , yiya kwigumbi likaxakeka lesibhedlele elikufutshane (ETU) ngoko nangoko. Le yingxamiseko esongela ubomi.
Iingxaki zemithambo-luvo ngamanye amaxesha aziyongxaki nje yobuhle. I-CVI sisifo esiqhubekekayo esinokuchaphazela umgangatho wobomi bakho. Ke ngoko, ngokufumana iingcebiso zonyango ezifanelekileyo kunye nokulandela unyango ngokuchanekileyo, ungayilawula le meko kakuhle kwaye uphile ubomi obutofotofo.
Umyalezo Wokuya Ekhaya
- I-Chronic Venous Insufficiency (CVI) yimeko apho igazi lingahambi kakuhle entliziyweni kwaye liqokelelana emilenzeni ngenxa yevalvu ezibuthathaka kwimithambo yemilenze.
- Iimpawu eziphambili ziquka ukudumba kwemilenze, iintlungu, ubunzima, ukutshintsha kombala wolusu, kunye nezilonda ezingapholiyo.
- Utshintsho kwindlela yokuphila (ukuphakamisa imilenze yakho, ukuzilolonga, ukunciphisa umzimba) yinxalenye ebalulekileyo yonyango.
- Ukunxiba iisokisi zokucinezela ezichazwe ngugqirha kunokulawula kakhulu iimpawu.
- Ukuba uneempawu okanye imeko iba mandundu, bonana nogqirha wakho ngoko nangoko. Kuphephe ukuzinyanga.
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